| Spaccapaniccia Podiatry Ltd Pc | |
|
2340 S Highland Ave Ste 100, Lombard, IL 60148-7131 | |
| (630) 495-3338 | |
| (630) 495-3350 |
| Full Name | Spaccapaniccia Podiatry Ltd Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 2340 S Highland Ave Ste 100, Lombard, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215067806 | NPI | - | NPPES |
| 0060015180 | Other | IL | BCBS |
| CN8416 | Other | IL | MEDICARE RAILROAD |
| 0 | Other | 1 | |
| 0060015182 | Other | IL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 016-003407 (Illinois) | Primary |
| Provider Name | Mark J Spaccapaniccia |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003994112 PECOS PAC ID: 4789571423 Enrollment ID: I20110624000577 |
| Provider Name | Christopher Cklamovski |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1528563483 PECOS PAC ID: 2365777265 Enrollment ID: I20220616002303 |
| Mailing Address | Practice Location Address |
|---|---|
| Spaccapaniccia Podiatry Ltd Pc 2340 S Highland Ave, Lombard, IL 60148-5371 Ph: (630) 495-3338 | Spaccapaniccia Podiatry Ltd Pc 2340 S Highland Ave Ste 100, Lombard, IL 60148-7131 Ph: (630) 495-3338 |
Dr. Mark Spaccapaniccia, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2340 S Highland Ave, Lombard, IL 60148 Phone: 630-495-3338 Fax: 630-495-3350 | |
Weil Foot And Ankle Institute Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 6 E Saint Charles Rd Ste 100, Lombard, IL 60148 Phone: 630-412-1135 Fax: 847-390-9345 | |
Dr. Scott Allen Zimmerman, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 10 E 22nd St, Suite 205, Lombard, IL 60148 Phone: 630-953-8088 Fax: 630-953-8094 | |
Dr. Jaydienne Paulisa Cruz Fontejon, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 10 E 22nd St Ste 205, Lombard, IL 60148 Phone: 630-953-8088 Fax: 630-953-8094 | |
Scott A Zimmerman, D.p.m., Ltd. Podiatrist Medicare: Medicare Enrolled Practice Location: 10 E 22nd St, Suite 205, Lombard, IL 60148 Phone: 630-953-8088 Fax: 630-953-8094 | |
Dr. Nehal Sheth, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2340 S Highland Ave Ste 100, Lombard, IL 60148 Phone: 630-495-3338 |